Health status and (health-related) quality of life during the recovery of distal radius fractures: a systematic review

Abstract

Purpose

Distal radius fractures (DRF) cause long-term functional limitations. A subgroup (21.2 %) will never fully recover after DRF. Therefore, it is important to consider the health status (HS) and (health-related) quality of life (HR)QOL of these patients. The aim of this systematic review was to describe (1) the HS and (HR)QOL outcomes following DRF, (2) sociodemographic, clinical, and psychosocial factors associated with HS and (HR)QOL, and to (3) evaluate the conceptualization of HS and (HR)QOL in these studies.

Methods

A systematic literature search was conducted in Pubmed, Embase, The Cochrane Library, and PsycINFO (January 1976–July 2012). A criteria list was used to assess the methodological quality of the studies.

Results

Twenty-six studies were included with a mean quality score of 7.7 (SD = 1.7). The majority of studies had a low methodological quality. Twenty-three studies (88.5 %) focused exclusively on HS and only three studies examined (HR)QOL. However, 34.8 % of the outcomes were labeled as (HR)QOL by the authors, while in fact, HS was assessed. Sex, age, educational level, living situation, and radiocarpal arthritis were associated with HS. In general, no differences were found in HS and (HR)QOL when comparing different treatment modalities.

Conclusions

The focus of outcome research in DRF is mainly on HS instead of (HR)QOL. HS instruments were often mislabeled as (HR)QOL instruments. With inconclusive results of mostly low-quality studies, there is a need for high-quality prospective follow-up studies measuring HS and/or (HR)QOL while using the correct terminology.

Health status and (health-related) quality of life during the recovery of distal radius fractures: a systematic review

Auteurs:

M. A. C. Van Son J. De Vries J. A. Roukema B. L. Den Oudsten

Publicatiedatum

01-11-2013

DOI

https://doi.org/10.1007/s11136-013-0391-z

Uitgeverij

Springer Netherlands

Tijdschrift

Quality of Life Research
An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation - An Official Journal of the International Society of Quality of Life Research
Uitgave 9/2013
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649